Mobile Clinic Case Manager

Job Description

Job Description

Summary

The Case Manager is responsible for providing comprehensive case management for patients and programs in the Mobile Clinic. Receives referral reports from physicians and medical assistants, calls and responds to patients’ needs in person or by telephone.

Performs in-reach with La Maestra patients due for services, coordinates the schedule of medical appointments and mammogram services in the Mobile Clinic.

Support the Mammogram Coach team by coordinating medical appointments with contracted vendor to provide mammograms screenings to patients.

Take the necessary healthcare information into the community by: contacting groups and individuals delivering pertinent information, and screening groups and individuals, with the goal of increasing awareness of the health care services, mental health and dental services available through the programs offered at La Maestra Community Health Centers.

Tiers

Tier I:

• Entry-level professional with limited or no prior experience in Case Management; learns to use professional concepts to resolve problems of limited scope and complexity; works on developmental assignments that are initially routine in nature, requiring limited judgment and decision making. Knows fundamental concepts, practices and procedures of field.

Tier II:

• Professional with 3-5 years of experience and proficient in EMR (such as NextGen, Epic, eclinicalworks etc.). Applies acquired job skills, policies, and procedures to complete substantive assignments/projects/tasks of moderate scope and complexity; exercises judgment within defined guidelines and practices to determine appropriate action.

Tier III:

• Professional with 5 or more years of experience and proficient in EMR (such as NextGen, Epic, eclinicalworks etc.) Knows how to apply theory and put it into practice with in-depth understanding of the professional field; independently performs the full range of responsibilities within the function; possesses broad job knowledge; analyzes problems/issues of diverse scopes and determines solutions.

Responsibilities

• Plan, facilitate, care coordination, evaluation and advocacy for options and services for each individual patient.
• Aids with Medical applications and official document requests (IDs, birth certificates)
• To schedule medical appointments (including but not limited to) Establish Care, Preventive Exams, Annual Gyn Exams, follow-ups, and mammogram appointments.
• Perform patient reminder calls, verify kept appointments, and document into EHR communications with patient

• Arrive at 7am to MCRP set up table. Review list of members that need services before their release. At 730am attend the inmate meeting where La Maestra will speak to the inmates and offer services
• Advocate for individual and community needs
• Verify periodicity for patient appointments to comply with insurances and programs
• Review patient chart for any notes and/or follow-up referrals and coordinate with Specialist offices the referrals for patients
• Responsible for assessment, case plan development and advocacy

• Interviews patients to ascertain nature of referral visit. Records information on electronic health record

• Communicates with physicians or medical offices to which the patient is being referred for medical care. Routes form to appropriate physician or office for action.

• Compiles referrals for records, by category, department office, and disposition

• Notifies supervisors of patterns of poor provision of service

• Maintains up to date reference materials and files

• Communicates with patients to make appointments

• Meet minimum requirement of 20 referrals/appointments per day

• Covers for MA when short staffed (See MA I Job Description for tasks)

• Submits weekly report on-time

• Performs other duties as assigned

• Verify mammogram referrals for accuracy

• Uploads referral into the DR System
• Verify insurance eligibility
• Document calls into NextGen PM and EHR NextGen
• Provides good customer service
• Communicates with provider, team and supervisor
• Maintains effective communication and working relationships with other employees and patients

• Attend staff meetings

• Perform other duties as assigned

Job Requirements

Education: High School Diploma or GED

Certification required: CPR certification, Medical Assistant Certificate

Experience: 1-2 years of experience in physician office or hospital setting as a medical assistant, patient services representative, or similar experience.

Verbal and Written Skills to perform the job: Bilingual (English/Spanish). Familiarity with basic word processing, spreadsheet, and database applications. Accurate keyboarding skills.

Technical knowledge and skills required to perform the job: Excellent verbal, written and interpersonal communication skills and the demonstrated ability to work with diverse individuals and groups. Demonstrate high levels of self-initiation and direction. Knowledge of communities we serve. Knowledge and experience working in medical settings and interacting collaboratively with medical teams. Skills in analyzing situations and making timely decisions.

Physical and Mental Requirements: Work involves sitting, talking, hearing, using hands to handle, feel or operate objects, tools, or controls, and reaching with hands and arms. The employee may be required to push, pull, lift, and/or carry up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

La Maestra Community Health Centers is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation or belief.